Comparative risk assessment of diseases mortality attributable to metabolic, lifestyle, infectious, and environmental risk factors in Taiwan: a subnational level analysis
| Autor: | Yu-Hsiang Tsao, 曹宇翔 |
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| Rok vydání: | 2019 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 107 From the perspective of public health, the key to promoting the health of the population is developing the most effective health intervention policy under limited resources to prevent and control the occurrence, disability and death. In order to achieve such a goal, fully understood the health problems and the distribution of potential risk factors is the first step. The establishment and quality control of death cause statistics in Taiwan is praised by other countries. However, how to use such results effectively to further explore the causes and provide them to governments as a reference for policy development becomes the current topic. This study used the comparative risk assessment (CRA) framework developed by the Global Burden of Disease (GBD) program to estimate the distribution of death burden of disease that attributes to risk factors in Taiwan. Use a comprehensive database to extend the analytical resolution to the subnational level, including high blood pressure, high fasting blood glucose, high low-density cholesterol, obesity, smoking, alcohol drinking, chewing betel nut, low physical activity content, outdoor air pollution, chronic hepatitis B and hepatitis C infection. The results of the analysis showed that high blood pressure, obesity and high fasting blood glucose were the most important risk factors for the death burden. We further found that smoking and obesity affected younger and middle-aged groups more than other risk factors. At subnational levels, there is a generally high death burden in the eastern region, followed by the central, southern and northern regions in Taiwan. In terms of risk factors, behavior-related risk factors (for example: smoking, betel nut, and drinking) cause a certain level of death burden in the central region, while the eastern region need pay efforts on young and mid age population for infection and behavior-related risk factors. This study provides quantitative evidence of the impact of risk factors on the health, and evaluates the health problems and causes of them according to subnational level to help governments to develop health policies that adapt to local condition. Under the premise of limited resources, such an analysis can effectively achieve the goal of promoting health, and expect that a more comprehensive risk factors can be included for evaluation in the future. Further, a long-term analysis and monitoring and even combined with cost-effectiveness analysis, incorporating more resources or government departments to integrate to achieve real health promotion. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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